Patients diagnosed with mood disorders treated with eletroconvulsive therapy and family perception
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2023.167997Keywords:
Electroconvulsive Therapy, Mood Disorders, Family Relations, Mental HealthAbstract
Objective: to discuss the family perception of patients diagnosed with mood disorders
undergoing treatment with electroconvulsive therapy. Methodology: qualitative, descriptive
study conducted in a private psychiatric hospital in Belo Horizonte, Minas Gerais, Brazil, with
relatives of patients with mood disorders undergoing electroconvulsive therapy. Data collection
performed through interviews and field diaries. For data analysis, Content Analysis was used
and the webQDA software was used for qualitative data analysis. Results: treatment with
electroconvulsive therapy was associated with an improvement in the patients’ clinical picture.
Conclusion: further research is needed to evaluate adherence to electroconvulsive therapy by
patients and the understanding of its risks and benefits.
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References
Stripp TK, Jorgensen MB, Olsen NV. Anesthesia for electroconvulsive therapy – new tricks for old drugs: a systematic review. Acta Neuropsychiatr. 2018;30(2):61-9. https://doi.org/10.1017/neu.2017.12
Oremus C, Oremus M, McNeely H, Losier B, Parlar M, King M, et al. Effects of electroconvulsive therapy on cognitive functioning in patients with depression: protocol for a systematic review and meta-analysis. BMJ Open. 2015;5:e006966. https://doi.org/10.1136/bmjopen-2014-006966
Pascal S. Electroconvulsive therapy does not increase the risk of dementia in patients with affective disorders. Evid Based Mental Health. 2019;22:e5. https://doi.org/10.1136/ebmental-2018-300048
Kei I, Minoru T, Chiyo S, Naoto K, Hiromi A, Mami O, et al. Factors associated with relapse after a response to electroconvulsive therapy in unipolar versus bipolar depression. J Affect Disord. 2017;208:113-9. https://doi.org/10.1016/j.jad.2016.08.047
World Health Organization. Mental health action plan 2013-2020. Geneva: WHO; 2013.
World Health Organization. Guidelines for the management of physical health conditions in adults with severe mental disorders. Geneva: WHO; 2018.
Medda P, Perugi G, Zanello S, Ciuffa M, Cassano GB. Response to ECT in bipolar I, bipolar II and unipolar depression. J Affec Disord. 2009;118(3):55-9. https://doi.org/10.1016/j.jad.2009.01.014
Clarke KA, Barnes M, Ross D. I had no other option: Women, electroconvulsive therapy, and informed consent. Int J Ment Health Nurs. 2018;27(3):1077-85. https://doi.org/10.1111/inm.12420
Scott AIF. College guidelines on electroconvulsive therapy: an update for prescribers. Adv Psychiart Treat. 2005;11(2):150-6. https://doi.org/10.1192/apt.11.2.150
Kolar D. Current status of electroconvulsive therapy for mood disorders: a clinical review. Evid Based Ment Health. 2017;20:12-4. https://doi.org/10.1136/eb-2016-102498
Krishnan KRR. How Does Electroconvulsive Therapy Work? Biol Psychiatry. 2016;79(4):264-5. https://doi.org/10.1016/j.biopsych.2015.10.01
Delmonte D, De Santis C, Verri FM, Rossini D, Lucca A, Zanardi R, et al. Electroconvulsive Therapy (ECT) in Treatment-resistant Depression (Trd): a Naturalistic Study. Eur Psychiatry. 2015;30(1):28-31. https://doi.org/10.1016/S0924-9338(15)30658-1
Bohry S, Machado ER, Feitosa MP. Depressão: Família e seu papel no tratamento do paciente. Encontro Rev Psicol [Internet]. 2011 [cited 2020 Jan 14];14(21):127-44. Available from: http://www.pgsskroton.com.br/seer/index.php/renc/article/view/2499/2393
Wells K, Scanlan JN, Gomez L, Rutter S, Hancock N, Tuite A, et al. Decision making and support available to individuals considering and undertaking electroconvulsive therapy (ECT): a qualitative, consumer-led study. BMC Psychiatry. 2018;18(1):236-44. https://doi.org/10.1186/s12888-018-1813-9
Elias A, Ang A, Schneider A, George K. Family presence during Electroconvulsive Therapy. J ECT. 2019;35(2):91-4. https://doi.org/10.1097/YCT.0000000000000559
Bardin L. Análise de conteúdo. Lisboa: Edições 70; 2011.
Menezes ICM, Juruena MF. Diagnóstico de depressões unipolares e bipolares e seus especificadores. Medicina [Internet]. 2017 [cited 2020 Jan 15];50(Supl.1):64-71. Available from: https://www.revistas.usp.br/rmrp/article/view/127540/124634
Silva RC, Santos VC, Mochikuzi AB, Anjos KF. Transtorno afetivo bipolar: terapêuticas, adesão ao tratamento e assistência de enfermagem. REBRASF [Internet]. 2017 [cited 2020 Jan 14];1(1):10-21. Available from: http://www.seer-adventista.com.br/ojs/index.php/RBSF/article/view/848/669
Zago AC, Tomasi E, Demori CC. Adesão ao tratamento medicamentoso dos usuários de centros de atenção psicossocial com transtornos do humor e esquizofrenia. SMAD Rev Eletr Saúde Mental Álcool Drog. 2015;11(4):224-33. https://doi.org/10.11606/issn.1806-6976.v11i4p224-233
Weiss A, Hussain S, Ng B, Sarma S, Tiller J, Waite S, et al. Royal Australian and New Zealand College of Psychiatrists professional practice guidelines for the administration of electroconvulsive therapy. Aust N Z J Psychiatry. 2019;35(7). https://doi.org/10.1177/0004867419839139
Minnai GP, Piergiorgio S, Mirko M, Martina P, Leonardo T. What happens to the course of bipolar disorder after electroconvulsive therapy? J Affec Disord. 2016;195:180-4. https://doi.org/10.1016/j.jad.2016.02.027
Zhang XQ, Wang ZM, Pan YL, Chiu HFK, Ng CH, Ungvari GS, et al. Use of electroconvulsive therapy in older Chinese psychiatric patients. Int J Geriatr Psychiatry. 2015;30(8):851-6. https://doi.org/10.1002/gps.4227
Torrance R. Informed consent and ECT: how much information should be provided? J Med Ethics. 2015;41(5):371-4. https://doi.org/10.1136/medethics-2013-101885
Kaster TS, Daskalakis ZJ, Blumberger DM. Clinical Effectiveness and Cognitive Impact of Electroconvulsive Therapy for Schizophrenia: A Large Retrospective Study. J Clin Psychiatry. 2017;78(4):e383-e389. https://doi.org/10.4088/JCP.16m10686
Mankad M. Informed consent for Electroconvulsive Therapy – Finding Balance. J ECT. 2015;31(3):143-6. https://doi.org/10.1097/YCT.0000000000000241
Bernardo M, Urretavizcaya M. Dignificando uma terapia electroconvulsiva basada en la evidencia. Rev Psiquiatr Salud Mental. 2015;8(2):51-4. https://doi.org/10.1016/j.rpsm.2015.01.002
Maric NP, Stojanovic Z, Andric S, Soldatovic I, Dolic M, Spiric Z. The acute and medium-term effects of treatment with electroconvulsive therapy on memory in patients with major depressive disorder. Psychol Med. 2016;46(4):797-806. https://doi.org/10.1017/S0033291715002287
Spaans HP, Sienaert P, Bouckaert F, Van Den Berg JF, Verwijk E, Kho KH, et al. Speed of remission in elderly patients with depression: electroconvulsive therapy v. medication. B J Psychiatry. 2015;206(1):67-71. https://doi.org/10.1192/bjp.bp.114.148213
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